Severe Whip-Like Cervical Tics as an Indication For Thalamic Deep Brain Stimulation: Report of Two Cases.

IF 2.5 Q2 CLINICAL NEUROLOGY

Tremor and Other Hyperkinetic Movements Pub Date : 2025-05-16 eCollection Date: 2025-01-01 DOI:10.5334/tohm.1010

Masamune Tsuji, Kei Yamashiro, Takashi Morishita, Atsushi Hirota, Hitoshi Iida, Yasuhiko Baba, Hiroshi Abe

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Abstract

Background: Cervical spinal cord injury caused by cervical tics associated with Tourette syndrome (TS) is a recognized complication; however, the role of deep brain stimulation (DBS) in mitigating the risk of such injuries remains unclear.

Case report: We report two cases of TS with severe cervical tics, both of which responded favorably to DBS. In one case, DBS prevented the progression of cervical spinal cord injury, whereas in the other case, it prevented its onset.

Discussion: Poor control of severe cervical tics is a significant risk factor for cervical spinal cord injury, and early consideration of DBS is recommended.

Highlights: This case report presents two cases in which deep brain stimulation (DBS) was effective for patients with Tourette syndrome exhibiting severe cervical tics. Through this report, we demonstrate the potential effectiveness of DBS as a treatment to reduce the risk of cervical spinal cord injury caused by severe cervical tics.

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重度鞭状颈抽动作为丘脑深部脑刺激的指征：附2例报告。

背景：抽动伴抽动秽语综合征（TS）引起的颈脊髓损伤是公认的并发症；然而，深部脑刺激（DBS）在减轻此类损伤风险中的作用尚不清楚。病例报告：我们报告了两例伴有严重颈椎抽搐的TS，两者对DBS反应良好。在一种情况下，DBS阻止了颈脊髓损伤的进展，而在另一种情况下，它阻止了它的发生。讨论：严重颈椎抽搐控制不佳是颈脊髓损伤的重要危险因素，建议尽早考虑DBS。本病例报告介绍了两例深部脑刺激（DBS）对表现严重颈椎抽搐的图雷特综合征患者有效的病例。通过本报告，我们证明了DBS作为一种治疗方法的潜在有效性，可以降低严重颈抽动引起的颈脊髓损伤的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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